经内镜超声引导下经胃 Roux-en-Y 胃旁路吻合口吻合术使用附腔金属支架或十二指肠自膨式金属支架的 ERCP：一项欧洲单中心经验。
Endoscopic ultrasound-directed transgastric ERCP in patients with Roux-en-Y gastric bypass using lumen-apposing metal stents or duodenal self-expandable metal stents. A European single-center experience.
机构信息
Hospital Universitario Río Hortega.
出版信息
Rev Esp Enferm Dig. 2020 Mar;112(3):211-215. doi: 10.17235/reed.2020.6897/2020.
INTRODUCTION
endoscopic ultrasound-directed transgastric ERCP is emerging in Roux-en-Y gastric bypass.
METHODS
a review of 14 consecutive patients.
RESULTS
fourteen EUS-directed gastro-gastrostomy/gastro-jejunostomy were performed using lumen-apposing metal stents or duodenal self-expandable metal stents. Single-session ERCP was successful in 9/12 cases and deferred procedures or follow-up in 6/7 cases. Papillary access was obtained in all cases. Dislodgment occurred in 4/19 patients and was handled successfully endoscopically. Transgastric stents were removed after a median of 30 days. No recurrence/fistula were noted after a median of 256 days post-removal.
CONCLUSIONS
duodenal self-expandable and lumen-apposing metal stents can be used for single-deferred endoscopic ultrasound-directed transgastric ERCP in Roux-en-Y gastric bypass.
介绍
内镜超声引导下经胃 ERCP 技术在 Roux-en-Y 胃旁路术中逐渐应用。
方法
回顾性分析了 14 例连续患者。
结果
使用 lumen-apposing 金属支架或十二指肠自膨式金属支架完成了 14 例 EUS 引导下胃-胃吻合术/胃-空肠吻合术。12 例中的 9 例在单次 ERCP 中获得成功，并对 6/7 例患者进行了延迟操作或随访。所有病例均获得了乳头入路。19 例患者中有 4 例支架移位，均成功进行了内镜处理。中位 30 天后取出经胃支架。取出后中位 256 天无复发/瘘管。
结论
十二指肠自膨式和 lumen-apposing 金属支架可用于 Roux-en-Y 胃旁路术后单次延迟内镜超声引导下经胃 ERCP。
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